HomeMy WebLinkAbout0000628-Plumbing (interior)
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PLUM'ølN'G PERMIT - Oshkosh, Wisconsin /, 11' Perml! N<.? 628
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Date
OUTSIDE WORK
NOW SEWn WA'E. STORMS FEES FEES .EIAY S. SEWE. WATE. "ORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
From Curb 10 BuDding Electric Pump¡ From Curb to Building
Repair
INSIDE WORK
110.
NEW
REP.
NEW
NO.
FEES
USED
.EP. I USED
FEES
NEW
REP.
USID
FI..
NO.
Baib Tub
Gerbage Dlapooals
Ceic:h Buhuo
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1-
L
I-
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Wub BaiD
Dlabwahen
Conductoro
Water Cl_t
Laundramatl
Greue Catch Bains
Water Softenero
Sump Pump" E ectoro
Sink
Water Heaten
Sanitary Bubb1ero
UriDaJe
Bar and Soda Wutes
Shew... Baths
Floor Dr8ÜIs
Laundry Tubs
Dental Cuspidon
Service SiDks
Insped1ons --.---m-m-Ouislde
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Valuation of the Work HereiD Described
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City """,.,
Fee Verified, Receipted and Recorded
Received Perml! and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premIses and his authorized Plumber hereby agree 'to be' bounden by ...d
submit to all statutes, city ordinanc.., and rul.. and regulations prescribed by the aoard of Public Works for the government of Plumbers.
It Is futher agreed by th.l undersigned that no other uses will be made of the above connections except as hereinalter listed.
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY
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being first duly ~Jrnon oath deposes and says that he is not
a licensed plumL"cT. and that he has applied for a plumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in t, :w\T,e owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieci by h:im es his home when completed, That he is not
building said home for the purpose of sale.
This affidavit is made for the purpose of complying with
the provision" of the plumbing code of the City of Oshkosh and
the State of V"iscopsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation coæplies with the plumbing code of the City of
Oshkosh and the State of Wisconsin,
This understands that the Plumbing work authorized
by the permi applied for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work.
Dated this _Lcl- day
0 f ~---~:øilf!l_--, 19 .2ì-'
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Subscribed and sworn to before me
this _/ Ji1 day of -~, 192?_,
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Notary pub!i~~~bagO County, Wisconsin
MY COMMISSION EXP¡R¡;~
My Commission Expires ;----__~.;'~Y2.£:...g¡_U_-~--